E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Investigation of cognitive function and neurophysiology. |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | Information not present in EudraCT |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
· To investigate neurophysiological changes following EVT 101 with fMRI during rest and cognitive tasks in young healthy male subjects. · To investigate the neuropsychological changes following EVT 101 using a validated battery of cognitive tasks, in young healthy male subjects. · To relate the effects of EVT 101 on fMRI signal to the effects on performance in cognitive tasks.
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E.2.2 | Secondary objectives of the trial |
· To determine plasma concentrations of EVT 101 in the subjects (pre-dose, 1, 1.5, 2, and 4h after dosing). |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Subjects will be males of any ethnic origin between 18 and 55 years of age and with a body mass index (BMI) between 19 and 29 kg/m2 inclusive. 2. Subjects must be in good health, as determined by a medical history, physical examination, 12-lead electrocardiogram (ECG) and clinical laboratory evaluations (congenital non haemolytic hyperbilirubinaemia is NOT acceptable). 3. Subjects must be right-handed. 4. Subjects will have given their written informed consent to participate in the study and to abide by the study restrictions.
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E.4 | Principal exclusion criteria |
1. Female subjects. 2. Subjects who have received any prescribed systemic or topical medication within 5 half-lives or 14 days of the first dose administration, whichever is greater. 3. Subjects who have received any prescribed CNS medication within 30 days. 4. Subjects who have used any non-prescribed systemic or topical medication within 7 days of the first dose administration (with the exception of vitamin/mineral supplements) unless in the opinion of the Investigator the medication will not interfere with the study procedures or compromise safety. 5. Subjects who have received any medications known to chronically alter drug absorption or elimination processes within 30 days of the first dose administration. 6. Subjects who have participated in a clinical study involving administration of an investigational drug (new chemical entity) in the past 4 months, or a marketed drug within the past 3 months. 7. Subjects who have donated blood, plasma or platelets in the past month, or who have made donations on more than two occasions within the 12 months preceding the first dose administration. 8. Subjects with a history of drug allergy to NMDA antagonists or otherwise with a history of clinically significant drug allergy. 9. Subjects who have any clinically significant allergic disease (excluding non-active hay fever). 10. Young subjects who have a supine blood pressure and supine heart rate at screening higher than 140/90 mmHg and 90 beats per minute (bpm), respectively, or lower than 80/40 mmHg and 40 bpm, respectively. 11. Subjects who consume more than 21 units of alcohol per week or who have a significant history of alcoholism or drug/chemical abuse (one unit of alcohol equals ½ pint [285 mL] of beer or lager, one glass [125 mL] of wine, or 1/6 gill [25 mL] of spirits). 12. Subjects who smoke more than 5 cigarettes or the equivalent in tobacco per day (including snuff, nicotine patch, nicotine chewing gum, inhaler) and are not able to refrain from using the nicotine containing products during each of the three study periods. 13. Subjects with intake of caffeine >5 drinks per day on average. 14. Subjects who are vegetarians. 15. Subjects with an abnormal acoustic function. 16. Subjects with, or with a history of, any clinically significant respiratory, metabolic, endocrine, haematological or other major disorders. 17. Subjects with cardiac pacemakers or other electronic device or ferromagnetic metal foreign bodies (e.g. tattoo). 18. Subjects with ECG parameters outside of normal ranges as follows: PR <120 msec and >200 msec, QRS>120 msec, QTc >430 msec, HR <40 bpm and >100 bpm. 19. Subjects diagnosed with disorders such as but not limited to: claustrophobia in enclosed environment, depression, anxiety, panic attack, phobias, schizophrenia, drug overdose or self-harm. 20. Subjects with a history of psychosis in a first-degree relative. 21. Subjects who cannot complete the neuropsychological test battery despite having undergone training sessions. 22. Subjects with abnormal anatomical MRI as defined by radiologist (e.g. tumours, evidence of stroke, localised with matter lesions, excessive atrophy, aneurisms, vascular malformations). 23. Subjects with, or with a history of, gastritis, peptic ulcer or similar. 24. Subjects who have any clinically significant cardiac abnormality following review of the 24 hour Holter monitoring by an external cardiologist under the care of RPL. 25. Subjects who have had a clinically significant illness within 4 weeks of the start of the study. 26. Subjects who are known to have serum hepatitis or who are carriers of the hepatitis B surface antigen (HBsAg) or hepatitis C antibody, have a positive result to the test for HIV antibodies. 27. Subjects who, in the opinion of their general practitioner (GP) or the Investigator, should not participate in the study. 28. Subjects who are, in the opinion of the investigator unlikely to comply with the clinical protocol or are unsuitable for any other reason.
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E.5 End points |
E.5.1 | Primary end point(s) |
· change in fMRI BOLD signal under baseline conditions and during activation by cognitive tasks · change in regional Cerebral Blood Flow (rCBF, determined with ASL-MRI), after drug compared with placebo · performance scores in the cognitive tests · safety/tolerability: adverse events (AE), safety laboratory blood tests, ECG, vital signs |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | Yes |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 5 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial months | 5 |